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CLOSER-ICU: Clinical Outcomes and Health-Related Quality of Life of Patients Admitted at the Medical Intensive Care Unit of Baguio General Hospital and Medical Center - A Pilot Study.

Author

Kelly Ann P. Suanding,
Maria Lowella F.  De Leon

Publication Information

Publication Type
Research Report
Date
December 16, 2021-January 16, 2022

Abstract

Background. The survival of critically ill patients has significantly improved in recent years. However, little attention is paid to the frequent physical, mental and/or psychological consequences that significantly contribute to worsened morbidity and quality of life long after ICU discharge. To date, this area of patient care has yet to be explored in the Philippine setting.


Objectives. This study aimed to determine the clinico-demographic profile, health-related quality of life (HRQOL) and clinical outcome of patients admitted in the ICU of Baguio General Hospital and Medical Center.


Methods. This was a cross-sectional study conducted on 23 patients chosen by simple random sampling. Eligible subjects included those aged ≥18 years, admitted for >24 hours, on non-invasive/invasive mechanical ventilator and/or at least one vasopressor, GCS ≥11, and with signed informed consent. The clinico-demographic profile, severity of illness (using SAPS II and SOFA) and HRQOL (using the interview-guided SF-36 form) were assessed. Follow-up was done at 2 weeks post-discharge to determine HRQOL and clinical outcome.


Results. Patients included were males (61%) and females (39%) with mean age of 62 years (SD=17.39), mean BMI of 22.13 mg/kg2 (SD=1.85), mean length of ICU stay of 18.96±11.24 days, mean SOFA score of 5.39±2.54, and mean SAPS II of 38.26±10.7. These variables were found to have no significant influence on patient mortality (13%) at 2 weeks post-discharge. The PCS and MCS scores on admission were 47.67 and 76.82, which decreased significantly to 41.84 and 69.13, respectively, upon discharge. The PCS score improved significantly to 50.32 on follow-up at 2 weeks, while MCS decreased further to 67.35 (p<0.05). 


Conclusion. The PCS scores showed significant improvement over time, while a significant decrease in the MCS scores were observed. There was no correlation found between the clinico-demographic variables and patient mortality.


Keywords: Critical illness, ICU survivors, quality of life, mortality, SF-36

References

1. Rai, R . "Impact of Critical Illness on Quality of Life after Intensive Care UnitDischarge" Indian Journal of CriticalCare Medicine 24(5): 299–306, 2020
2. Rydingsward, J . "Functional Status in ICU Survivors and out of hospitaloutcomes: a cohort study" Critical CareMedicine 44(5): 869–879, 2016
3. Steenbergen, S . "Long-term treated intensive care patients outcomes: theone-year mortality rate, quality of life, health care use and long-termcomplications as reported by general practitioners" BMC Anesthesiology 15, 142, 2015
4. Langerud, AK . "Health-related quality of life in intensive care survivors: Associations with social support, comorbidity, and pain interference" PLoS One 13(6): 2018
5. Haines, K . "Long-term recovery followingcritical illness in an Australian cohort" Journalof Intensive Care 6(8): 2018

 
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